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评估加拿大两个省份的公众和政策影响者对促进人口层面健康饮食的健康公共政策的支持。

Assessing general public and policy influencer support for healthy public policies to promote healthy eating at the population level in two Canadian provinces.

机构信息

1School of Public Health,University of Alberta,3-300 Edmonton Clinic Health Academy,11405 - 87 Avenue,Edmonton,Alberta,Canada,T6G 1C9.

2Coalition québécoise sur la problématique du poids (the Weight Coalition),Montréal,Québec, Canada.

出版信息

Public Health Nutr. 2019 Jun;22(8):1492-1502. doi: 10.1017/S1368980018004068. Epub 2019 Feb 20.

DOI:10.1017/S1368980018004068
PMID:30782230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10260847/
Abstract

OBJECTIVE

To assess and compare the favourability of healthy public policy options to promote healthy eating from the perspective of members of the general public and policy influencers in two Canadian provinces.

DESIGN

The Chronic Disease Prevention Survey, administered in 2016, required participants to rank their level of support for different evidence-based policy options to promote healthy eating at the population level. Pearson's χ 2 significance testing was used to compare support between groups for each policy option and results were interpreted using the Nuffield Council on Bioethics' intervention ladder framework.

SETTING

Alberta and Québec, Canada.ParticipantsMembers of the general public (n 2400) and policy influencers (n 302) in Alberta and Québec.

RESULTS

General public and policy influencer survey respondents were more supportive of healthy eating policies if they were less intrusive on individual autonomy. However, in comparing levels of support between groups, we found policy influencers indicated significantly stronger support overall for healthy eating policy options. We also found that policy influencers in Québec tended to show more support for more restrictive policy options than their counterparts from Alberta.

CONCLUSIONS

These results suggest that additional knowledge brokering may be required to increase support for more intrusive yet impactful evidence-based policy interventions; and that the overall lower levels of support among members of the public may impede policy influencers from taking action on policies to promote healthy eating.

摘要

目的

从加拿大两个省份的普通公众和政策影响者的角度评估和比较促进健康饮食的健康公共政策选择的有利程度。

设计

2016 年进行的慢性疾病预防调查要求参与者对不同基于证据的促进人口健康饮食的政策选择的支持程度进行排名。使用 Pearson's χ 2 显著性检验比较每个政策选择在组之间的支持程度,并使用 Nuffield 理事会生物伦理学的干预阶梯框架来解释结果。

地点

加拿大艾伯塔省和魁北克省。

参与者

艾伯塔省和魁北克省的普通公众(n=2400)和政策影响者(n=302)。

结果

如果对个人自主权的侵犯较少,普通公众和政策影响者调查受访者对促进健康饮食的政策更为支持。然而,在比较两组之间的支持水平时,我们发现政策影响者总体上对健康饮食政策选择表示出更强的支持。我们还发现,与来自艾伯塔省的同行相比,魁北克的政策影响者往往对更具限制性的政策选择表示更多支持。

结论

这些结果表明,可能需要进行更多的知识中介,以增加对更具侵入性但有影响力的基于证据的政策干预措施的支持;公众成员的整体支持率较低可能会阻碍政策影响者采取行动来促进健康饮食的政策。

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